DR. EVELYNE KALYOUSSEF MD
NPI 1053516765
Otolaryngology in Newark, NJ

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN STREET, SUITE8100, NEWARK, NJ 07103(973) 972-4588 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Evelyne Kalyoussef Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVELYNE KALYOUSSEF MD (NPI 1053516765) is an individual otolaryngology provider in Newark, New Jersey, licensed in New Jersey (25MA09150700) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053516765
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. EVELYNE KALYOUSSEFCredential: MD
Location Address90 BERGEN STREET, SUITE8100Newark, NJ 07103
Mailing Address90 Bergen Street, Suite8100Newark, NJ 07103 · (973) 972-4588
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 21, 2007
Last NPPES UpdateSeptember 12, 2012
NPI 1053516765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NJ · 25MA09150700
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
90 BERGEN STREET, Newark, NJ 07103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Evelyne Kalyoussef Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618125550
PECOS Enrollment IDI20120918000377
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims101 services$3.46 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims9,643 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
90 BERGEN STREET, DOC 6100
NEWARK, NJ 07103
Physician Assistant
90 BERGEN STREET, STE 8100
NEWARK, NJ 07103
Physical Medicine & Rehabilitation
90 BERGEN STREET, DOCTORS OFFICE CENTER- SUITE 3300
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN STREET, DEPARTMENT OF NEUROLOGY
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN STREET, DOCTORS OFFICE CENTER, SUITE 6100
NEWARK, NJ 07103
Ophthalmology
90 BERGEN STREET, SUITE 6100 UMDNJ NJ MEDICAL SCHOOL OPHTHELMOLOGY
NEWARK, NJ 07103
Medical Genetics (Clinical Genetics (M.D.))
90 BERGEN STREET, DOCTORS OFFICE COMPLEX SUITE 5400
NEWARK, NJ 07103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelyne Kalyoussef's NPI number?

The NPI number for Evelyne Kalyoussef is 1053516765. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Evelyne Kalyoussef located?

Evelyne Kalyoussef practices at 90 Bergen Street Suite8100, Newark, NJ 07103. The listed phone number is (973) 972-4588.

What is Evelyne Kalyoussef's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Evelyne Kalyoussef enrolled in Medicare?

Yes. Evelyne Kalyoussef is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Evelyne Kalyoussef affiliated with any hospitals?

According to CMS data, Evelyne Kalyoussef is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Evelyne Kalyoussef was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.